Jordan Josiah Belden, DDS
Individual provider Active NPI General Practice Dentistry · Seal Beach, CA
NPI 1881207009 · NPPES record last updated Aug 27, 2020
Key facts
- NPI
- 1881207009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 105290 (CA)
- Practice address
- 12419 Seal Beach Blvd
Seal Beach, CA 90740-2710 - Phone
- (562) 431-0393
- NPI assigned
- Aug 27, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105290 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bach Xuan Nguyen Dental Corporation | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105290 | CA | Yes |
Addresses
Primary practice location
12419 Seal Beach Blvd
Seal Beach, CA 90740-2710
Mailing address
1431 Santa Barbara Dr
Newport Beach, CA 92660-6373
Phone (714) 390-4586
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- Beach Dermatology
- Beachcat Family Counseling Professional Corporation
- Robert Bedell
- Behavior Therapy and Learning Center
- Vanessa Bell
- Alice F Billman
- Hannah Elizabeth Blackmore
- Claudine Uwimpaye Blaise
- Amanda Bliss
All providers in Seal Beach, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.